Repositorio
Institucional

Munoz-Cofre, Rodrigo

Fernanda del Valle, Maria

Valenzuela, Jorge

Nasri Marzuca-Nassr, Gabriel

Cabrera-Inostroza, Consuelo

del Sol, Mariano

Lizana, Pablo A.

Escobar-Cabello, Maximo

Eight Weeks of Supervised Pulmonary Rehabilitation Are Effective in Improving Resting Heart Rate and Heart Rate Recovery in Severe COVID-19 Patient Survivors of Mechanical Ventilation

MDPI

MEDICINA-LITHUANIA

en

Background and Objectives: Patients who survive severe COVID-19 require significant pulmonary rehabilitation. Heart rate (HR) has been used as a safety variable in the evaluation of the results of interventions in patients undergoing pulmonary rehabilitation. The aim of this research was to analyse HR during a pulmonary rehabilitation program in post-severe COVID-19 patients who survived mechanical ventilation (MV). The study includes the initial and final evaluations and aerobic training sessions. Materials and Methods: Twenty patients (58 +/- 13 years, 11 men) were trained for 8 weeks. A 6-minute walk test (6 MWT) was performed and, subsequently, a supervised and individualised training plan was created. Resting heart rate (RHR), heart rate recovery (HRR), heart rate at minute 6 (HR6 min) and the product of HR6 min and systolic blood pressure (HR6 min(x)SBP) were measured at 6 MWT. In addition, HR was measured at each training session. Results: After 8 weeks of pulmonary rehabilitation, patients decreased their RHR from 81.95 +/- 9.36 to 73.60 +/- 9.82 beats/min (p < 0.001) and significantly increased their HRR from 12.45 +/- 10.22 to 20.55 +/- 7.33 beats/min (p = 0.005). HR6 min presented a significant relationship with walking speed and walked distance after the pulmonary rehabilitation period (r = 0.555, p = 0.011 and r = 0.613, p = 0.011, respectively). HR6 min(x)SBP presented a significant relationship with walking speed and walked distance after training (r = 0.538, p = 0.014 and r = 0.568, p = 0.008, respectively). In the pulmonary rehabilitation sessions, a significant decrease in HR was observed at minutes 1, 6 and 15 (p < 0.05) between sessions 1 and 6 and at minute 1 between sessions 1 and 12. Conclusions: Eight weeks of individualised and supervised pulmonary rehabilitation were effective in improving RHR and HRR in COVID-19 patients surviving MV. HR is an easily accessible indicator that could help to monitor the evaluation and development of a pulmonary rehabilitation program in COVID-19 patients who survived MV.

artículo original

10.3390/medicina58040514

PDF

heart rate

COVID-19

pulmonary rehabilitation

6-MINUTE WALK TEST

STANDARDIZATION

DISEASE

Medicina general e interna

frecuencia cardíaca

COVID-19

rehabilitación pulmonar

PRUEBA DE CAMINATA DE 6 MINUTOS

ESTANDARIZACIÓN

ENFERMEDAD

Sistema Respiratorio

Medicina General e Interna

Ciencias del Deporte y Acondicionamiento Físico

version publicada

dorada

verde

acceso abierto

acceso abierto

WOS:000785016300001

Eight Weeks of Supervised Pulmonary Rehabilitation Are Effective in Improving Resting Heart Rate and Heart Rate Recovery in Severe COVID-19 Patient Survivors of Mechanical Ventilation

artículo original

CC BY 4.0

CC BY 4.0